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5YL-27562-71555

2 vaccinations 3 coded responses 7 check-ins 3 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
946 / CA
Registered
2021-03-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-04
    Dose 1 — Moderna
  2. 2021-03-04
    Dose 2 — Moderna
  3. 2021-03-31
    Registered in v-safe
  4. 2021-03-31
    Survey response — day 21, dose 2
    MedDRA: Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Since second vaccination I have had terrible leg ache and moderate arm aching. Tomorrow will be one month of these symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-31
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-04-01
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  7. 2021-04-08
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  8. 2021-04-17
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  9. 2021-06-03
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-09-03
    Survey response — 6 months, dose 2
    MedDRA: Immediate post-injection reaction, Myalgia, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Continuing muscle pain in legs and upper body. I have seen 3 doctors , all agreed that it may have been caused by vaccine I had received as it began right after vaccine was administered. Its nearly 6 months and have had me do numerous tests . · Healthcare visit (other): In person with Rhumedoid specialist 3x
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  11. 2021-09-03
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  12. 2021-09-08
  13. 2021-09-09
  14. 2021-09-09
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact
  15. 2022-03-04
    Survey response — 12 months, dose 2
    MedDRA: Myalgia, Myopathy, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Continuing muscular myopathy as diagnosed by Rheumatologist that my Primary MD sent me to. It began 4 days after first Moderna vaccine on 2/4/21. Muscle pain is decreasing , but after 1 year and blood work every 3 months . · Healthcare visit (other): In person appointments w Primary and Rhumedoid specialist
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-03-04
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  17. 2022-03-09
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-02-04Moderna
22021-03-04Moderna

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 6 — day 21, dose 2

2021-03-31

Symptoms: Since second vaccination I have had terrible leg ache and moderate arm aching. Tomorrow will be one month of these symptoms

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: Continuing muscle pain in legs and upper body. I have seen 3 doctors , all agreed that it may have been caused by vaccine I had received as it began right after vaccine was administered. Its nearly 6 months and have had me do numerous tests .
Healthcare visit (other): In person with Rhumedoid specialist 3x

Release 11 — 12 months, dose 2

2022-03-04

Symptoms: Continuing muscular myopathy as diagnosed by Rheumatologist that my Primary MD sent me to. It began 4 days after first Moderna vaccine on 2/4/21. Muscle pain is decreasing , but after 1 year and blood work every 3 months .
Healthcare visit (other): In person appointments w Primary and Rhumedoid specialist

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ · ✓
SDImmediate post-injection reaction ✓ · ✓
SDMyalgia ✓ · ✓
SDMyopathy · · ✓
SDOffice visit ✓ · ✓
SDPain in extremity ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release